title: Motor speech treatment protocol for developmental motor speech disorders.
abstract: OBJECTIVE
  This study examines the effect of the Motor Speech Treatment Protocol (MSTP), a multi-sensory hybrid treatment approach on five children (mean: 3;3 years; S.D. 0;1) with severe to profound speech sound disorders with motor speech difficulties.
  
  
  METHODS
  A multiple probe design, replicated over five participants, was used to evaluate the effects of treatment on improving listeners' auditory and visual judgements of speech accuracy.
  
  
  RESULTS
  All participants demonstrated significant change between baseline and maintenance conditions, with the exception of KM, who may have had underlying psychosocial, regulation and/or attention difficulties. The training- (practiced in treatment) and test-words (not practiced in treatment) both demonstrated positive change in all participants, indicating generalization of target features to untrained words.
  
  
  CONCLUSIONS
  These results provide preliminary evidence that the MSTP, which integrates multi-sensory information and utilizes hierarchical goal selection, may positively impact speech sound production by improving speech motor control in this population.
authors.affiliation: a Department of Speech-Language Pathology , University of Toronto , Toronto , Ontario , Canada .
authors.forename: Aravind
authors.initials: A
authors.lastname: Namasivayam
authors.affiliation: b The Speech & Stuttering Institute , Toronto , Ontario , Canada .
authors.forename: Margit
authors.initials: M
authors.lastname: Pukonen
authors.affiliation: a Department of Speech-Language Pathology , University of Toronto , Toronto , Ontario , Canada .
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hard
authors.affiliation: b The Speech & Stuttering Institute , Toronto , Ontario , Canada .
authors.forename: Rene
authors.initials: R
authors.lastname: Jahnke
authors.affiliation: a Department of Speech-Language Pathology , University of Toronto , Toronto , Ontario , Canada .
authors.forename: Elaine
authors.initials: E
authors.lastname: Kearney
authors.affiliation: b The Speech & Stuttering Institute , Toronto , Ontario , Canada .
authors.forename: Robert
authors.initials: R
authors.lastname: Kroll
authors.affiliation: a Department of Speech-Language Pathology , University of Toronto , Toronto , Ontario , Canada .|c The Toronto Rehabilitation Institute , Toronto , Ontario , Canada .|d Department of Psychology , University of Toronto , Toronto , Ontario , Canada .|e Institute of Biomaterials and Biomedical Engineering, University of Toronto , Toronto , Ontario , Canada , and.|f Graduate Department of Rehabilitation Science , University of Toronto , Toronto , Ontario , Canada.
authors.forename: Pascal
authors.initials: P
authors.lastname: van Lieshout
mesh_terms: D001288:Attention; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D013067:Speech Perception; D066229:Speech Sound Disorder / Q000628:therapy*; D013070:Speech Therapy / Q000379:methods*
keywords: Children; developmental motor speech disorders; motor speech control; speech sound disorder